HomeMy WebLinkAboutDrain Layers Permit 10 City View Terrace i
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Permit No. 6526 Town of South Windsor, CT
Permit Date 11/19/ 1996 Drain Layer Permit
Expiration Date 12/19/1996
DescH p:
Applicant Loca t.-i on
Name WILCOX CONSTRUCTION CO Addr. < 10 CITYVIEW TERRACE
Addr. 535 OLD STAFFORD ROACH Owner 8 & M EMTERPRISE
TOLLAND Cl- 06084
Phone No. (860)871-1839
The Drain Layer assi-gned this permit has a valid license issued by the
state and hereby agrees to -all the terms -and , conditions set forth in the
attached 'Conditions' . A-IT work shall be in accordance with Town of South
Windsor sta dards, all OSHA requirements," an the attached coed.itions.
I s s u e d By
'l. � T i t l e
71
)ate Inspecti�o ry _.ZB.L�6'. Inspected B
TOWN OF SOUTH WINDSOR :INSPECTION REPORT'
?ermit No. 6526 Contractor WILCOX CONSTRUCTION CO
location 10 CITYVIEW TERRACE Address 535 OLD STAFFORD ROAD
Type Work NEW SAN LAT TOLLAND CT 06084
Phone No (860)871-1839
)ate Insp weeded _- $ L. �- - _ _ Date Insp,.. r---___--____--
rime Insp Needed Time Insp.
Inspected By
fork in Progress f_
Date
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APPLICATION FOR DRAIN LAYERS PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVFNUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: In C i �g y t ctu 2k Yracc�, Lot #
Street No. Street Name
Premises owned by e H Erg A-e r o r ;SAS Zn c
Name of Firm:�t �-1 >n�P�prr SAS Z1�t c Phone
Address of Firm: 3`? (o P t e�Sc�n f 1/a,i l e �� S r� .`I G� ojl•j d S o►—
TYPE OF WORK: /
Lay House Drain ff Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with r
1
Proposed Start Date � _ Es imated time for completion L1 '
ALL WORK TO BE IN ACCORDANCE KITH T O`►WN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to%///�Z'�' ' %�j %� C'� the holder of Drain
layer's License No.6Li2� L` . Only holders of P1, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
Signed: - Print Name `
Licensed Drain Layer
Date: 1